Disclosures and Conflicts of Interest

At Fishtown Medicine, transparency and trust are our currency. We believe you deserve to know exactly how we make decisions and whether we have any financial incentive to recommend a specific product or service.

Our Philosophy

Conflicts of interest are important to us. We maintain this page to keep our disclosures visible and up-to-date so you can audit them at any time.

Product Recommendations

We often recommend products (supplements, wearables, devices) that we believe will improve your health. We do not accept or solicit payments for these recommendations. This is an operational decision that lines up with our values: limit opportunity for bias and focus strictly on your health and your results.

• Fullscript Commissions: When you buy professional-grade supplements through our Fullscript dispensary, we may receive a small commission. Those funds are used strictly to subsidize our practice's technology and platform costs.
• No Other Product Kickbacks: For all other recommended items (including links to Amazon, manufacturer sites, or specific devices), we do not receive any commissions, kickbacks, or "pay-to-play" fees. We link to these resources only for your convenience and clinical utility.
• Wirecutter & Editorial Reviews: We often reference The New York Times' Wirecutter for recommendations (air purifiers, water filters, and similar). We trust them because they line up with our medical standards (efficacy, safety) and prioritize careful, unbiased testing over hype. We have no affiliation with Wirecutter. We link to their reviews only to help you find durable, effective tools for your health.
• Linking: Unless otherwise specified (as with Fullscript), our links are provided for your ease of access, not for profit.

Service Referrals

We occasionally refer you to external partners for specialized services (for example, imaging centers or specific testing labs). No Referral Fees: We do not collect fees for any referrals. Our partnerships are chosen for safety, high-quality care, and an easy experience. Pharmacy Freedom of Choice: You are free to get your prescriptions from any pharmacy of your choice. While we use Photon Health to route prescriptions efficiently, you are never restricted to a specific pharmacy partner. Supplement Freedom of Choice: While we provide a curated dispensary through Fullscript for your convenience and product quality, you are free to buy recommended supplements from any vendor, pharmacy, or retailer of your choice.

Clinical and Technology Partners

We partner with best-in-class technology providers to deliver modern, easy care. We maintain commercial or operational relationships with the following companies.

• Ultralight: Our partner for systems organization and record keeping.
• Medmo: Our concierge platform for scheduling imaging (MRI, CT, ultrasound) with insurance coverage or upfront pricing.
• Photon Health: Our modern prescribing gateway. Photon routes your prescriptions to the pharmacy of your choice and gives you a mobile-first interface to manage refills.
• Fullscript: Our dispensary for professional-grade supplements. Disclosure: commissions from Fullscript help subsidize our platform technology costs.
• Quest Diagnostics & Labcorp: Our primary partners for diagnostic blood work and routine pathology.
• Intercom: Our platform for secure, direct patient communication, including email, message, phone, and video.

Insurance and External Coverage

While we provide the clinical expertise and orders (prescriptions, lab requests, imaging referrals), your actual coverage, copays, and out-of-pocket costs are determined strictly by the terms of your insurance carrier. Coverage of prescriptions or orders is subject to your insurer's specific policies, regardless of the ordering physician.

Financial Services and HSA/FSA

We use secure third-party vendors for credit card processing and financial transactions. Our services are often eligible for Health Savings Account (HSA) or Flexible Spending Account (FSA) reimbursement. We recommend confirming eligibility with your specific vendor or plan administrator.

Third-Party Terms of Service

Fishtown Medicine integrates with the partners listed above to provide a high-quality, modern experience. When you use our service, you are also subject to the terms of use and privacy policies of those third-party vendors (including clinical platforms, lab partners, and financial processors).

Open Payments Notice

The federal Physician Payments Sunshine Act requires that information about payments from manufacturers of drugs and medical devices to physicians be made available to the public. You can search the Open Payments database at https://openpaymentsdata.cms.gov.